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See a sample rate comparisonCPT 25635 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Carpal Bon, Closed Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) With Manipulation Each Bone Closed Treatment Of Carpal Bone Fracture (Excluding Carpal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25635 |
| Medicaid Fee Schedule | View Medicaid rates for 25635 |
National average reimbursement for CPT 25635 by major payers:
$623.78
$599.29
$620.57
$744.87
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CPT 25635
5 of 25 sample ratesHigher to lower in this preview
Unity Linden Oaks Surgery Center, LLC
$731.00Published rateActd,LLC, Green Mountain Surgery Center
Actdllc
$500.00Published ratePremier Professional Surgery Center PC, Parkeye Surgi Center
Park Eye & Surgi Center
$179.00Published rateGreenbelt Urology Institute, L.L.C.
Greenbelt Urology Institute LLC
$97.00Published rateGastroenterology & Hepatology Consultants, PA, Wake Forest Endoscopy Center
Gastroenterology And Hepatology Consultants, P.A.
$71.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25635 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25635 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 25635 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 25624-CPT | Moderate | Closed Treatment Of Carpal Sca, Closed Treatment Of Carpal Scaphoid (Navicular) Fracturewith Manipulation Closed Treatment Of Carpal Scaphoid (Navicular) Fracture |
| 25630-CPT | Moderate | Closed Treatment Of Carpal Bon, Closed Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) Without Manipulation Each Bone Closed Treatment Of Carpal Bone Fracture (Excluding Carpal |
| 25635-CPT | Moderate | Closed Treatment Of Carpal Bon, Closed Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) With Manipulation Each Bone Closed Treatment Of Carpal Bone Fracture (Excluding Carpal |
| 25645-CPT | Moderate | Open Treatment Of Carpal Bone, Open Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) Each Bone Open Treatment Of Carpal Bone Fracture (Excluding Carpal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25635 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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